PDCA循环模式对急诊胃镜患者焦虑情绪的影响

Effect of Plan-Do-Check-Act cycle in relieving anxiety in patients undergoing emergency gastroscopy

目的:探讨计划实施检查评价(plan do check action,PDCA)循环模式用于改善急诊胃镜患者焦虑情绪的应用效果.方法:对需要行急诊胃镜检查的96例急诊患者随机分为实验组50例和对照组46例,对照组采用传统的胃镜检查护理方法,实验组应用PDCA循环法,即对急诊胃镜患者焦虑情绪进行分析、总结,并落实相应护理干预措施,比较两组干预前后焦虑自评量表焦虑自评量表评分(self-rating anxiety scale,SAS)评分、焦虑情绪改善疗效及心率、呼吸、血压等指标变化.结果:两组患者干预前SAS评分及心率、呼吸、血压均无统计学差异(均P>0.05);干预后,实验组SAS评分、心率、呼吸、血压水平均显著低于干预前及低于对照组(干预前后SAS评分53.71±9.29 vs 40.75±2.66,P<0.01;心率96.23次/min±0.04次/min vs 81.25次/min±1.22次/min,P<0.01;呼吸16.77次/min±2.38次/min vs 12.33次/min±2.36次/min,P<0.05;收缩压126.23 mmHg±15.14 mmHg vs 112.25mmHg±8.55 mmHg,P<0.05;舒张压72.29mmHg±7.11 mmHg vs 62.74 mmHg±9.32mmHg,P<0.05),而焦虑情绪改善有效率明显高于对照组(80%vs 67.3%,P<0.05).结论:通过实施PDCA循环模式,对急诊胃镜患者焦虑情绪不断进行评估、分析,并进行相应护理干预,能有效缓解急诊胃镜检查患者的紧张情绪,减轻患者痛苦,值得临床推广应用.

AIM： To investigate the effect of Plan-Do-Check- Act （PDCA） cycle in relieving anxiety among patients undergoing emergency gastroscopy. METHODS： Ninety-six patients receiving emer- gency gastroscopy were divided randomly into either a control group （n = 46） or an experimen- tal group （n = 50）. The control group underwent traditional nursing care, and the experiment group received PDCA before gastroscopy. The changes in heart rate, respiration, and blood pressure were monitored, and anxiety levels were compared between the two groups using the self-rating anxiety scale （SAS）. RESULTS： SAS score, heart rate, respiration, and blood pressure were not significantly differ-ent between the experiment and control groups before intervention （all P 〉 0.05）. After treat- ment, SAS score and the levels of heart rate, res- piration rate, and blood pressure in the experi- ment group were significantly lower than those before treatment and those in the control, group （pre- and post-treatment： SAS score 53.71 ± 9.29 vs 40.75 ± 2.66, P 〈 0.01; heart rate 96.23/rain ± 0.04/min vs 81.25/min ± 1.22/min, P 〈 0.01; res- piration rate 16.77/min ± 2.38/min vs 12.33/rain ± 2.36/min, P 〈 0.05; systolic pressure 126.23 mmHg ± 15.14 mmHg vs 112.25 mmHg ± 8.55 mmHg, P 〈 0.05; diastolic pressure 72.29 mmHg ± 7.11 mmHg vs 62.74 mmHg ± 9.32 mmHg, P 〈 0.05）. The effective rate was significantly higher in the experiment group than in the control group （80% vs 67.3%, P 〈 0.05）. CONCLUSION： PDCA cycle can reduce the de- gree of preoperative anxiety in patients under- going emergency gastroscopy.